Membership/Donation - Minerals West Coast

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PAYMENT PORTAL

Are you:Paying Your Minerals West Coast membership fees?Making a donation to Minerals West Coast?

Business/Company Name *

Contact Person *

Contact Phone *

Contact Email *

Business/Personal Name

Contact Email

Contact Phone

We will send you a full tax receipt to the contact email above.

We will send you a full tax receipt to the contact email above - if you have supplied one.

Notes/comments

Amount *

NZD

GST

Total Amount Payable

$

Credit / Debit Card *